神经内镜下三脑室底部造瘘术治疗分流术后裂隙脑室综合征疗效观察

Observation on Therapeutic Effect of Endoscopic Third Ventriculostomy Surgery on Slit Ventricle Syndrome after Ventriculo-peritoneal Shunt

目的 观察神经内镜下三脑室造瘘术治疗脑室腹腔分流术后裂隙脑室综合征的疗效.方法 选取6例梗阻性脑积水行脑室腹腔分流术后并发裂隙脑室综合征患者,先夹闭分流管,待脑室扩大后,采用神经内镜行三脑室底脚间池造瘘术治疗,观察疗效.结果 术后6例患者均显效,随访12～48个月（平均28个月）,无一例死亡.6例术后有不同程度发热,给予地塞米松治疗3 d后好转;2例脑室内有少量积气.结论 神经内镜下三脑室底部造瘘术治疗脑室腹腔分流术后裂隙脑室综合征疗效可靠,且手术操作简单,并发症少.

Objective To investigate the therapeutic effect of endoscopic third ventriculostomy surgery on endoscopic surgery slit ventricle syndrome after ventriculo -peritoneal shunt. Methods 6 patients with slit ventricle syndrome after ventriculo - peritoneal shunt were firstly occluded the isocon until ventricles of the brain were enlarged, then they were treated with endoscopic third ventriculostomy. Therapeutic effect was observed. Results All 6 patients had significant therapeutic effect. All the patients were followed up for 12 -48 months （average 28 months）, but no death was found. All 6 cases after operation have different degrees of fever, and the patients was on the mend after having the dexamethasone for 3 days, and 2 patients had few pneumatosis. Conclusion Endoscopic third ventriculostomy surgery is simple and has reliable curative effect and few complications in treating ventricle syndrome after ventriculo -peritoneal shunt surgery.